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Assessment of Physical Function

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21. Depression in adults with chronic physical health problem: recognition and management

) and that degree of functional impairment should be routinely assessed before making a diagnosis. Using DSM-IV enables the guideline to better target the use of specific interventions, such as antidepressants, for more severe degrees of depression. In addition to physical illness, a wide range of psychological and social factors, which are not captured well by current diagnostic systems, have a significant impact on the course of depression and the response to treatment. Therefore it is also important (...) -and- conditions#notice-of-rights). Page 8 of 55K Ke ey priorities for implementation y priorities for implementation Principles for assessment Principles for assessment When assessing a patient with a chronic physical health problem who may have depression, conduct a comprehensive assessment that does not rely simply on a symptom count. T ake into account both the degree of functional impairment and/or disability associated with the possible depression and the duration of the episode. Effectiv Effective deliv

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

22. Alcohol-use disorders: diagnosis and management of physical complications

inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Alcohol-use disorders: diagnosis and management of physical complications (CG100) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) of alcohol withdrawal 19 4 Assessment and monitoring 19 5 Wernicke's encephalopathy 20 Update information 21 Recommendations that have been amended in 2017 21 Alcohol-use disorders: diagnosis and management of physical complications (CG100) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 22This guideline is the basis of QS11. This guideline should be read in conjunction with PH24. Recommendations Recommendations

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

23. Position Statement: the management of patients with physical and psychological problems in primary care - a practical guide

, recommendations and action points 7 Introduction 10 Part I Person 1 Mind and body: normal responsiveness and mechanisms 15 2 Concepts and definitions 24 3 Psychological response to physical illness 32 4 Depression 40 5 Medically unexplained symptoms in primary care 46 Part II Process 6 Using the doctor–patient relationship to the benefit of doctors and patients 55 7 Assessment and shared decision-making: managing mind and body 68 8 Management and treatment of psychological problems associated with physical (...) a multidisciplinary approach to assessment and management of patients. Liaison psychiatry could be successfully integrated into such services.College Report CR152 8 http://www.rcpsych.ac.uk r ecommen Da tions 1 Greater emphasis should be placed upon the assessment and management of individuals with a combination of psychological and physical problems during undergraduate training of all health professionals. 2 Medical students should be taught to incorporate brief psychological assessment into routine history

2009 Royal College of General Practitioners

24. Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association

and extent of medical interventions. Additionally, variability across the populations studied, length of follow-up, diagnostic criteria and methods, and definitions of lymphedema contribute to inconsistencies in incidence and prevalence statistics. Prior to establishing a plan of care, clinicians obtain a history and perform body function and structure tests and measures to establish a diagnosis, assess the stage and/or severity of the condition, and then determine the impact on activity (...) or above, have the potential to hamper efforts to intervene at the early stages. Providing timely and appropriate care to patients with SUQL requires that physical therapists and other health care professionals have access to guidelines that assist in directing their assessment and management. By implementing this evidence-based practice guideline, health care professionals will be better able to detect lymphedema of the upper quadrant, both at the subclinical and clinically apparent stages, allowing

2017 American Physical Therapy Association

25. Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition

not report on the short-term outcomes of the investigation, but instead on the growth and psychological functioning of the children 3 years later. The counselling did not address breastfeeding practices in younger children. There were no statistically significant differences in physical growth or psychological functioning of the children whose mothers had or had not received the nutrition-education programme. EVIDENCE AND RECOMMENDATIONS ?22 ? GUIDELINE: ASSESSING AND MANAGING CHILDREN AT PRIMARY HEALTH (...) ), assessing school-based physical-activity programmes for promoting physical activity and fitness in children and adolescents aged 6–18 years. Twenty-six RCTs included in the review. 3 Other recent systematic reviews published in 2015/2014 report on the effect of physical-activity interventions on BMI in children aged 0–18 years: • Mura et al., 2015 (50): a systematic review of RCTs assessing school-based physical-activity interventions in children aged 3–18 years. The review focused on interventions

2017 World Health Organisation Guidelines

26. Heavy menstrual bleeding: assessment and management

of HMB without other related symptoms (see recommendation 1.2.1), consider pharmacological treatment without carrying Heavy menstrual bleeding: assessment and management (NG88) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 36out a physical examination (unless the treatment chosen is levonorgestrel- releasing intrauterine system [LNG IUS] [1] ). [2007, amended 2018] [2007, amended 2018] Ph Physical e ysical (...) fibroids are present. [2007] [2007] 1.4.9 Inform women about the risk of possible loss of ovarian function and its consequences, even if their ovaries are retained during hysterectomy. [2007] [2007] 1.5 Management of HMB 1.5.1 When agreeing treatment options for HMB with women, take into account: the woman's preferences any comorbidities Heavy menstrual bleeding: assessment and management (NG88) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

27. Oesophago-gastric cancer: assessment and management in adults

Oesophago-gastric cancer: assessment and management in adults Oesophago-gastric cancer: assessment Oesophago-gastric cancer: assessment and management in adults and management in adults NICE guideline Published: 24 January 2018 nice.org.uk/guidance/ng83 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived (...) be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Oesophago-gastric cancer: assessment and management in adults (NG83) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

28. Low back pain and sciatica in over 16s: assessment and management

and sciatica in over 16s: assessment and management (NG59) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 18This guideline replaces CG88. This guideline is the basis of QS155. Ov Overview erview This guideline covers assessing and managing low back pain and sciatica in people aged 16 and over. It outlines physical, psychological, pharmacological and surgical treatments to help people manage their low back pain (...) with or without sciatica but only as part of a treatment package including exercise, with or without manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage). Low back pain and sciatica in over 16s: assessment and management (NG59) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 18Combined ph Combined physical and psy ysical and psychological pr chological progr ogrammes ammes 1.2.14

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

29. Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults With Cancer Guideline Adaptation

the depression or the anxiety scale is indicative of caseness for a disorder based on ICD-9 criteria Domains: depression symptoms, anxiety symptoms Physical symptom items are not included. Patient Health Questionnaire for Depression (PHQ-9) PHQ-9 (9 items) is a self-report scale assessing symptoms of major depressive disorder as defined by the DSM-IV. Domain: depressive symptoms and accompanying functional impairment Penn State Worry Questionnaire (PSWQ) and abbreviated form (PSWQ-A) PSWQ (16 items) and PSWQ (...) –Depression Scale (CES-D) and short form (CES-D-SF) CES-D (20 items) and the CES-D SF (10 items) are self-report scales of depressive symptoms. CES-D cores of > 16 suggest moderate to severe depressive symptomatology. Domains: negative affect and mood, positive mood or well-being, somatic, interpersonal CES-D is relatively unaffected by presence of physical symptoms. Generalized Anxiety Disorder Questionnaire-IV (GAD-Q-IV) GAD-Q (9 items) is a self-report scale assessing symptoms of generalized anxiety

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2014 American Society of Clinical Oncology Guidelines

30. Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer Guideline Adaptation

Fatigue Scale 28-item scale Validated in mixed cancer population undergoing treatment Psychometric properties examined in mixed cancer population Limited use; hence, its usefulness despite extensive psychometric data must therefore be questioned Dimensions: total score and physical and perceptual subscores Abbreviations: BFI, Brief Fatigue Inventory; EORTC QLQ C30, European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30; FACIT, Functional Assessment of Chronic (...) Illness Therapy; FACT-F, Functional Assessment of Cancer Therapy–Fatigue; FQ, Fatigue Questionnaire; FSI, Fatigue Symptom Inventory; MFI-20, 20-item Multidimensional Fatigue Inventory; MFSI-30, Multidimensional Fatigue Symptom Inventory 30-item short form; POMS-F, Profile of Mood States–Fatigue. *Tend to measure physical impact of fatigue. †Tend to measure cognitive or affective symptoms. Comprehensive and Focused Assessment Modified from NCCN Guideline for Survivorship. Regarding history and physical

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2014 American Society of Clinical Oncology Guidelines

31. Assessment and management of psychiatric disorders in individuals with multiple sclerosis

Assessment and management of psychiatric disorders in individuals with multiple sclerosis Evidence-based guideline: Assessment and management of psychiatric disorders in individuals with MS | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share January 14, 2014 ; 82 (2) Special Article Evidence-based guideline: Assessment and management of psychiatric disorders (...) , Kansas City. Evidence-based guideline: Assessment and management of psychiatric disorders in individuals with MS Sarah L. Minden , Anthony Feinstein , Rosalind C. Kalb , Deborah Miller , David C. Mohr , Scott B. Patten , Christopher Bever , Randolph B. Schiffer , Gary S. Gronseth , Pushpa Narayanaswami Neurology Jan 2014, 82 (2) 174-181; DOI: 10.1212/WNL.0000000000000013 Citation Manager Formats Make Comment See Comments Downloads 8782 Share Abstract Objective: To make evidence-based recommendations

2014 American Academy of Neurology

32. Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States

Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States | Circulation: Heart Failure Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Statement Regarding the Pre and Post (...) Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States , MD , MD, PhD , PharmD , MD , MD , MD , MD , PhD , MD , MD , MD , PhD , MD , MD , MD , MD, MPH , MD , MD , MD, PhD , MD , MD, PhD , and MD MDFrom the Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania (MAA); Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan (FDP); Campbell University College of Pharmacy and Health Science, Buies Creek, North

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2012 American Heart Association

33. CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery

., Djulbegovic, B., and Akl, E.A. Guideline panels should not GRADE good practice statements. J Clin Epidemiol . 2015 ; 68 : 597–600 | | | | | Preoperative Cardiac Risk Assessment Accurate preoperative cardiac risk estimation can serve several functions. Valid estimates of the risks and benefits of surgery can facilitate informed decision-making about the appropriateness of surgery. Accurate cardiac risk estimation can also guide management decisions (eg, consideration of endovascular vs open surgical (...) assessment only if the patients' history or physical examination suggests there is a potential undiagnosed severe obstructive intracardiac abnormality, severe pulmonary hypertension, or an unstable cardiovascular condition. 3. In patients who undergo elective noncardiac surgery who are 45 years of age or older or 18-44 years of age with known significant cardiovascular disease, we recommend they undergo preoperative cardiac risk assessment. Practical tip. Preoperative cardiac risk assessments should

2016 Canadian Cardiovascular Society

34. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos (...) ); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. This policy is a revision of the policy in Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management Rachel A. Zuckerbrot , Amy Cheung , Peter S. Jensen , Ruth E.K. Stein , Danielle Laraque , GLAD-PC STEERING GROUP Abstract OBJECTIVES: To update clinical practice guidelines

2018 American Academy of Pediatrics

35. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy

, palliative care specialists, advanced practice providers, geriatricians, primary care physicians, social workers, physical therapists, occupational therapists, nutritionists/dieticians Methods An Expert Panel was convened to develop clinical practice guideline recommendations based on a systematic review of the medical literature. Recommendations In patients age 65 and older receiving chemotherapy, geriatric assessment (GA)—the evaluation of functional status, physical performance and falls, comorbid (...) receiving chemotherapy, geriatric assessment (GA)—the evaluation of functional status, physical performance and falls, comorbid medical conditions, depression, social activity/support, nutritional status, and cognition—should be used to identify vulnerabilities or geriatric impairments that are not routinely captured in oncology assessments (Type: Evidence-based, benefits outweigh harms; Evidence quality: high; Strength of recommendation: strong). Literature review, analysis, and clinical interpretation

2018 American Society of Clinical Oncology Guidelines

36. Cerebral palsy in under 25s: assessment and management

1 in 3 children have specific difficulties with speech and language. The more severe the child's physical, functional or cognitive impairment, the greater the likelihood of difficulties with speech and language. Uncontrolled epilepsy may be associated with difficulties with all forms of communication, including speech. A child with bilateral spastic, dyskinetic or ataxic cerebral palsy is more likely to have Cerebral palsy in under 25s: assessment and management (NG62) © NICE 2019. All rights (...) at the following approximate prevalences in children with cerebral palsy: white matter damage: 45% basal ganglia or deep grey matter damage: 13% congenital malformation: 10% focal infarcts: 7%. 1.2.2 When assessing the likely cause of cerebral palsy, recognise that white matter damage, including periventricular leukomalacia shown on neuroimaging: is more common in children born preterm than in those born at term may occur in children with any functional level or motor subtype, but is more common in spastic

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

37. Multimorbidity: clinical assessment and management

assessment and management (NG56) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 23requests it or if any of the following apply: they find it difficult to manage their treatments or day-to-day activities they receive care and support from multiple services and need additional services they have both long-term physical and mental health conditions they have frailty (see section 1.4) or falls they frequently seek (...) are prescribed fewer than 10 regular medicines but are at particular risk of adverse events. 1.4 How to assess frailty 1.4.1 Consider assessing frailty in people with multimorbidity. 1.4.2 Be cautious about assessing frailty in a person who is acutely unwell. 1.4.3 Do not use a physical performance tool to assess frailty in a person who is acutely unwell. Primary care and community care settings Primary care and community care settings 1.4.4 When assessing frailty in primary and community care settings

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

38. Motor neurone disease: assessment and management

and needs provide coordinated care for people who cannot attend the clinic, according to the person's needs. [new 2016] [new 2016] 1.5.3 The multidisciplinary team should assess, manage and review the following areas, including the person's response to treatment: Weight, diet, nutritional intake and fluid intake, feeding and swallowing (see section 1.10). Muscle problems, such as weakness, stiffness and cramps (see recommendations 1.8.1–1.8.9 in section 1.8). Physical function, including mobility (...) is it for? 4 Recommendations 5 1.1 Recognition and referral 5 1.2 Information and support at diagnosis 6 1.3 Cognitive assessments 9 1.4 Prognostic factors 9 1.5 Organisation of care 9 1.6 Psychological and social care support 13 1.7 Planning for end of life 15 1.8 Managing symptoms 16 1.9 Equipment and adaptations to aid activities of daily living and mobility 18 1.10 Nutrition and gastrostomy 19 1.11 Communication 21 1.12 Respiratory function and respiratory symptoms 22 1.13 Cough effectiveness 23 1.14

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

39. Vestibular Assessment ? Eye movement Recordings

side equally, if at all. They would therefore be unlikely to affect any canal paresis calculation although they might affect interpretation of results suggesting hyper / hypo function. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 © BSA 2016 Page9 Patients should be advised not to wear any creams, foundations and eye make-up (especially mascara) as this may interfere with VNG recordings and make it more difficult to establish low electrode impedances with ENG. Local (...) be required for each ocular-motor function test. Light to dark and dark to light adaptation is non-linear (Davson, 1962) and not always predictable. Therefore if there is any doubt, recalibration is advisable. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 © BSA 2016 Page15 Figure 1-A Binocular Eye Recordings. Ch1 Ch2 Common + - + - Ch1 Ch2 Common + - + - Figure 1-B Monocular Eye Recordings. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 ©

2016 British Society of Audiology

40. Assessing Cardiac Metabolism

Assessing Cardiac Metabolism Assessing Cardiac Metabolism | Circulation Research Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 February 2019 February 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Assessing Cardiac Metabolism A Scientific Statement From the American Heart Association , MD, DPhil, FAHA (...) reactions, the heart converts chemical energy to mechanical energy. Energy transfer is achieved through coordinated activation of enzymes, ion channels, and contractile elements, as well as structural and membrane proteins. The heart’s needs for energy are difficult to overestimate. At a time when the cardiovascular research community is discovering a plethora of new molecular methods to assess cardiac metabolism, the methods remain scattered in the literature. The present statement on “Assessing

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2016 American Heart Association

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